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Health Asses Exam 4
| Question | Answer |
|---|---|
| What are normal findings for aging breasts? | Sagging |
| Modifiable risks for breast cancer | Diet, exercise, limit drinking/ smoking |
| Non-modifiable risks for breast cancer | Genetics and age |
| Ways to describe movements of tibiotalar joints | Plantar flexion and dorsi flexion |
| Descriptive words to use describing noises heard in knee joint when moving | Crepitus (crunching) - popping/cracking should be charted as crepitus |
| How do male bones differ from female bones | larger and stronger |
| How to assess strength for upper and lower extremities | Compare one limb to the other, not upper to lower |
| How to assess cerebellar functioning | Balance tests |
| Physical findings associated with lesions in sympathetic nervous system | Constricted pupils, unresponsive to light |
| What does the Romberg test indicate | Abnormal is Positive - indicated Cerebellar Ataxia (poor muscle control that causes clumsy voluntary movements) |
| Physical signs on Meningeal Irritation | Brudzinski Sign (knees up, chin to chest) |
| Risk factors for developing CVA (Stroke) | African American, older age, hypertension (68 y/o African American with hypertension) |
| Function of testes | To produce testosterone and sperm |
| Sperm maturation | Generated approx. every 90 days |
| Education to provide someone with repeated STI's | "Assess the clients knowledge on contraception" |
| Interventions for someone with genital piercings | Ways to avoid infection, care of the piercing |
| S/S of Candida (fungal infection caused by yeast) | Thick cottage cheese discharge, redness, swelling, itching, and painful intercourse |
| S/S of Gonorrhea | Yellow/Green Discharge |
| S/S of Bacterial Vaginosis | Grey, fishy-smelling discharge |
| S/S of Chlamydia | Pain when urinating, unusual vaginal discharge, pain in tummy/pelvis, pain during sex, bleeding after sex |
| Priority Interventions/Assessments for acute right pelvic pain in females | Check their vital signs -- NOT how many sexual partners -- |
| Steps for inspection of female genetalia | Inside to outside - outside begins with mons pubis |
| When PAP tests are performed and why | Cervical cancer screening, performed 2 years after start of sexual activity or the age of 18 |
| Cultural considerations for pubic hair development | African girls can start puberty at the age of 8 |
| What are Tanner Stages | The way we look at pubic hair and genital development Stage 3 - darker, coarser, curling and spreading over mons pubis |
| Physical Exam S/S that are concerning for breast cancer | Hyperpigmentation, peau to orange, unilateral vascular appearance |
| Physical exam confirmatory tests for Congenital Hip Dysplasia | Trendelenburg Test |
| Genu Valgum | Knock Knees |
| Where is the corona of the penis | "crown" - base of the glands |
| Hypospadias | Hole on the underside of the penis |
| Two small folds that go from the clitoral hood to the posterior of the vagina | Labia Minora |
| Where are acini cells | In the lobules |